| Regimental number | 179 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Margaret Street, Tighe's Hill, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Helen Beatrice Phillips, Margaret Street, Tighe's Hill, Newcastle, New South Wales |
| Enlistment date | 8 January 1916 |
| Place of enlistment | Newcastle, New South Wales |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, A Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
